Accidental Falls
Conditions
Interventions
This is a study carried out in two stages: a prototyping-type technological production aimed at building a mobile application, and an experimental study of the blind randomized controlled clinical tri
G11.427.410.698.277
Sponsors
Universidade de Brasília
Secretaria de Saúde do Distrito Federal
Eligibility
Age
60 Years to 80 Years
Inclusion criteria
Inclusion criteria: Both sexes; age between 60 and 80 years; be registered and monitored at the Ambulatory; own or have relatives in the same household who have a smartphone that supports the application with internet access; be available to attend the monthly consultations carried out throughout the study; being independent in activities of daily living, through the Barthel index; non-practitioners of physical activity or insufficient physical activity, assessed using the International physical activity questionnaire (IPAQ), an instrument that assesses the level of physical activity
Exclusion criteria
Exclusion criteria: Age greater than 80 years; chronic complications of DM (neuropathy; nephropathy, retinopathy, limb amputation and diabetic foot); participate in another clinical trial, research study, or exercise program where they perform similar balance and strength activities; having mobility limitations or using walking devices; diagnosis of progressive neurological disease or other acute or unstable medical condition that precludes performing the exercises; make use of medications that interfere with balance; failing to perform any evaluation proposed in the study protocol; presenting cognitive impairments assessed through the Mini Mental State Examination (MMSE) - the cutoff scores used for exclusion will be: 17 for illiterates; 22 for seniors with between 1 and 4 years of schooling; 24 for those with between 5 and 8 years of schooling and 26 for those with 9 or more years of schooling; and those with mobility deficits – Timed Up-and-Go (TUG) over 20 seconds, a timed test that assesses walking speed, balance and risk of falling
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find a decrease of up to 3.76 seconds in the execution time of the Timed Up-and-Go test at the end of the three months after the intervention. Data collected before the intervention and three months after the start of the intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to find an increase in balance at the end of the intervention, verified by the dynamic postural balance test Y Balance Test, from the verification of a variation of at least 7% in the pre and post-intervention measurements taking into account all directions , or an average increase of 6 cm taking all directions into account. Data collected before the intervention and three months after the start of the intervention. It is expected to find an increase in balance at the end of the intervention, verified through the Berg scale, from the verification of a variation of at least 5% in the pre- and post-intervention measurements, or a difference of 3 points on the scale. Data collected before the intervention and three months after the start of the intervention. It is expected to find a decrease in the fear of falling at the end of the intervention, assessed using the Fall Efficacy Scale – International, based on the finding of a variation of at least 20% in the pre- and post-intervention measurements, or a decrease of at least 3.0 points on the scale. Data collected before the intervention and three months after the start of the intervention. It is expected to find an increase in muscle strength and performance of the lower limbs at the end of the intervention, verified by the 30-second sit-to-stand test, based on the verification of a variation of at least 30% in the measurements pre- and post-intervention, or an increase of at least 2.4 seconds in the test. Data collected before the intervention and three months after the start of the intervention | — |
Countries
Brazil
Contacts
Public ContactLuciano de Lima
Universidade de Brasília
Outcome results
None listed